HiringCafe
Join our community

278 utilization management jobs at 162 companies in Frederick, MD

1mo
Save
Mark Applied
Hide
Utilization Management Specialist II
Baltimore, Maryland, United States
OnsiteFull Time
University of Maryland Medical System
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
1+ YOEMaryland RN or equivalent license (or Compact-eligible), 12+ months case/utilization management experience, knowledge of utilization management, strong verbal/written communication and analytical skills, ability to work with hospital/utilization management software.
Job PostingView all
3w
Save
Mark Applied
Hide
Utilization Management Analyst
Fairfax County, Virginia, United States
$71k/yr OnsiteFull Time
Commonwealth of Virginia
Commonwealth of Virginia: State government providing public services to Virginia residents.
Knowledge of inpatient psychiatric treatment, utilization management, third-party reimbursement, and regulatory requirements; ability to conduct chart and continued-stay reviews, communicate with clinicians and payers, produce reports, and write policies.
Microsoft Word, Microsoft Excel, AVATAR, EHR
Job PostingView all
2w
Save
Mark Applied
Hide
Utilization Management Nurse
Annapolis or Lanham
$34-$55/hr HybridFull Time
Luminis Health
Luminis Health: Provides comprehensive hospital and healthcare services in Maryland.
3+ YOECurrent Maryland RN license, BSN (or ADN with equivalent experience; BSN to be completed within 5 years), 3 years acute care nursing, chart review and utilization management experience, EPIC proficiency.
EPIC
Job PostingView all
1d
Save
Mark Applied
Hide
Utilization Management Supervisor (Hybrid)
Baltimore, Maryland, United States
$83k-$171k/yr HybridFull Time
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
3+ YOERN licensure, 3+ years medical/surgical experience, knowledge of utilization review and accreditation standards, supervisory experience, strong analytical and communication skills, Microsoft Office proficiency.
Microsoft Office
Job PostingView all
3w
Save
Mark Applied
Hide
Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yr OnsiteFull Time
MedStar Health
MedStar Health: Providing comprehensive healthcare services and patient care.
8+ YOE5+ MgmtProvides enterprise UM leadership; requires bachelor's in nursing/social work/related, RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, InterQual experience, strong data and communication skills.
InterQual, ASAM
Job PostingView all
3w
Save
Mark Applied
Hide
Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yr OnsiteFull Time
MedStar Health
MedStar Health: Operates hospitals and provides diverse clinical healthcare services.
8+ YOE5+ MgmtRequires RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, experience with InterQual, strong data/financial skills, and executive communication.
InterQual
Job PostingView all
3w
Save
Mark Applied
Hide
SPACE UTILIZATION COORDINATOR
McLean, Virginia, United States
$55k-$62k/yr OnsiteFull Time
Compass Group
Compass GroupLondon Stock Exchange: CPG: Provides contract food and support services globally.
1+ YOEHigh school diploma or equivalent; 1+ years conference/corporate or administrative experience preferred; strong admin, problem-solving, and communication skills; proficiency with Google Suite and event management systems.
Google Suite, EMS, Delphi
Job PostingView all
4w
Save
Mark Applied
Hide
Utilization Review Nurse RN - PRN
Westminster, Maryland, United States
$50-$53/hr OnsitePart Time
LifeBridge Health
LifeBridge Health: Provides hospital and comprehensive healthcare services in Maryland
Active RN license, utilization review and medical necessity knowledge, experience in utilization/case/care management, EHR proficiency, strong assessment, documentation, and communication skills.
Electronic Health Records (EHR), InterQual, MCG, utilization management software
Job PostingView all
2w
Save
Mark Applied
Hide
Utilization Management Registered Nurse
Washington, District of Columbia, United States
OnsiteFull Time
Verida
Verida: Manages non-emergency medical transportation for Medicaid and Medicare members.
2+ YOEActive RN licensed in DC/MD/VA, 2+ years clinical/utilization review or case management experience, strong clinical judgment, Medicaid knowledge, excellent communication, and ability to manage competing priorities.
Job PostingView all
1mo
Save
Mark Applied
Hide
Senior Director, Complex Care Management and Utilization Management
Baltimore, Maryland, United States
RemoteFull Time
AbsoluteCare
AbsoluteCare: Provides integrated medical and behavioral health for vulnerable populations.
7+ YOESenior leadership in complex care or utilization management; travel across multiple markets; RN preferred; CCM/URAC credentials beneficial.
Job PostingView all
1mo
Save
Mark Applied
Hide
Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yr RemoteFull Time
Chartis
Chartis: Strategic consulting and data analytics for the healthcare sector.
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
Epic, NLP, EHR
Job PostingView all
2w
Save
Mark Applied
Hide
Supervisor Work Management - WV & MD Work Management - Martinsburg Service Center
Martinsburg or Frederick or Mount Airy or Thurmont
OnsiteFull Time
FirstEnergy
FirstEnergyNYSE: FE: Provides electric power distribution and transmission services to customers.
5+ YOESupervisor with 5+ years related work experience in utility construction/maintenance, project management, leadership, Microsoft Office proficiency, WMI/GIS/SAP knowledge preferred, NESC/NEC awareness.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, WMI, GIS, CREWS, SAP
Job PostingView all
2mo
Save
Mark Applied
Hide
Management Consultant-Energy Providers North
Chicago or New York or United States or Detroit or Arlington or Boston
$68k-$113k/yr HybridFull Time
Guidehouse
Guidehouse: Provides management and technology consulting services to diverse organizations.
1+ YOEUS citizen or permanent resident; bachelor’s in business/economics/STEM with 1+ years utilities experience or master’s; multiple seniority levels; strong communication; willingness to travel; onsite or client location.
Microsoft Word, PowerPoint, Excel
Job PostingView all
6d
Save
Mark Applied
Hide
Manager, Project Management Office
Broomfield or Fort Mill or Pomona or Lebanon or Phoenix or Sterling or Sparks or North Plains or Grapevine or Newburg
$108k-$149k/yr HybridFull Time
Sunbelt Rentals
Sunbelt RentalsNYSE: SUNB: Renting construction, industrial, and specialty equipment and tools.
5+ YOE5+ years experience preferred with data centers/renewables/utilities; proficient in Microsoft Office, Outlook, SharePoint and project management tools; ability to read electrical schematics; OSHA10 and First Aid/AED/CPR or willingness to obtain; passport or ability to obtain.
Microsoft Office, Outlook, Microsoft SharePoint, Project Management tools and Software
Job PostingView all
2w
Save
Mark Applied
Hide
Senior Technical Infra Program Manager, DC Power Utilization Management
Seattle or Arlington or Herndon
$149k-$201k/yr OnsiteFull Time
Amazon
AmazonNASDAQ: AMZN: Global online retail and cloud computing technology provider.
5+ YOE5+ years program or technical project management experience, bachelor's degree or equivalent, experience owning program strategy and delivery, strong communication, technical aptitude, and proficiency with Microsoft Office, Microsoft Project, and Microsoft SharePoint.
Microsoft Office, Microsoft Project, Microsoft SharePoint, Tableau, KanBan, Playbook, SQL
Job PostingView all
1w
Save
Mark Applied
Hide
Management and Program Analyst
Aliso Viejo or Washington or Indianapolis or Euless
$106k-$138k/yr OnsiteFull Time
U.S. Customs and Border Protection
U.S. Customs and Border Protection: Secures United States borders and facilitates international trade and travel.
1+ YOESpecialized experience analyzing program and financial data, assessing funding and execution, advising leadership, coordinating stakeholders, and providing recommendations to improve resource utilization; U.S. citizenship and residency requirements apply.
Job PostingView all
2mo
Save
Mark Applied
Hide
Regional Director, Construction Management (Solar EPC) – MD, PA, DE
Baltimore, Maryland, United States
$150k-$200k/yr HybridFull Time
Sun Tribe
Sun Tribe: Develops and manages solar and energy storage projects.
12+ YOE12+ years of construction/project management experience in utility-scale solar EPC; leadership of construction teams; strong scheduling, safety, and subcontractor management.
Procore, Microsoft Office, MS Project
Job PostingView all
3w
Save
Mark Applied
Hide
Case Management Director
Aldie, Virginia, United States
OnsiteFull Time
Encompass Health
Encompass HealthNYSE: EHC: Operates a national network of inpatient rehabilitation hospitals.
3+ YOE3+ years hospital-based case management experience with utilization review and discharge planning; CCM or ACMTM preferred; discipline-specific licensure where required; BSN and RN licensure for nursing; ability to complete independent assessments.
Job PostingView all
1w
Save
Mark Applied
Hide
Senior Asset Management Consultant
Virginia Beach or Hanover
$100k-$170k/yr HybridFull Time
Arcadis
ArcadisEuronext Amsterdam: ARCAD: Global design, engineering, and consultancy for natural and built assets.
7+ YOE7+ years consulting or municipal utility experience, B.S. in engineering/MIS/engineering management, IAM/PE/PMP preferred, experience with GIS, BI tools, CMMS, Microsoft Project.
GIS, Power BI, Tableau, CMMS, Microsoft Project
Job PostingView all
1mo
Save
Mark Applied
Hide
Manager for Case Management- Bayview Location
Baltimore, Maryland, United States
$95/hr OnsiteTemporary
Johns Hopkins Health System
Johns Hopkins Health System: Provides comprehensive clinical healthcare and hospital medical services.
5+ YOE1+ MgmtMaryland RN required, CPR certification required, ACM or CCM within 2 years, 5+ years case management experience, 1+ year leadership, bachelor’s in nursing or related (master’s preferred), knowledge of Medicare, utilization management, and quality improvement.
Job PostingView all

Explore Jobs

Expand Your Job Search